Krauze N1, Kowalik I1, Dąbrowski R1, Smolis-Bąk E1, Sterliński M1, Sarna I2
1Institute of Cardiology, II Ischemic Heart Disease Dept, Warszawa, Poland, 2Institute of Cardiology, Warszawa, Poland
Background: Patients with implantable cardioverter defibrillators (ICD) are exposed to psychophysical disorders.
Purpose: To compare levels of fear, stress and depression as well as physical activity levels in ICD patients who have or have not experienced ICD shock.
Methods: The study included 94 patients aged 25-91 (mean age 64 years) after ICD implantation. The study participants were divided into two groups: S - patients who had experienced at least 1 ICD shock (50 persons), and NS - patients who had never experienced any ICD shocks (44 persons). The groups did not differ in terms of demographic and clinical characteristics. Physical activity levels were assessed with IPAQ, quality of life was evaluated using NHP, depression levels were assessed with the use of Beck Depression Inventory, while PSS-10 scale and the analogue scale were employed to evaluate stress and fear, respectively.
Results: Patients from group S were afraid of experiencing ICD shocks significantly more often than their counterparts from group NS (74% vs. 40.9% p=0.0012). Their levels of fear were also significantly higher compared to group NS (6 vs. 0 p=0.004). Study participants from group S limited their physical activity considerably more often due to their fear of ICD shocks (65.2% vs. 42.5% p=0.0284). No differences were found in depression and stress levels in the examined groups. It was noted that patients from group NS manifested significantly higher levels of moderate physical activity (p=0.0007) and all-week physical activity (p=0.0326). As far as physical abilities are concerned, patients from group NS displayed fewer limitations than their peers from group S (p=0.0323).
Conclusion(s):
1. Experience of ICD shocks causes fear of future shocks and increases fear levels considerably.
2. Previously experienced ICD shocks do not exert any influence on the levels of stress and depression.
3. ICD shock results in limiting all-week physical activity.
Implications: ICD shocks lower the level of quality of life. Patients with ICD require complex healthcare.
Keywords: depression, ICD, physical activity
Funding acknowledgements: No funding acknowledgements.
Purpose: To compare levels of fear, stress and depression as well as physical activity levels in ICD patients who have or have not experienced ICD shock.
Methods: The study included 94 patients aged 25-91 (mean age 64 years) after ICD implantation. The study participants were divided into two groups: S - patients who had experienced at least 1 ICD shock (50 persons), and NS - patients who had never experienced any ICD shocks (44 persons). The groups did not differ in terms of demographic and clinical characteristics. Physical activity levels were assessed with IPAQ, quality of life was evaluated using NHP, depression levels were assessed with the use of Beck Depression Inventory, while PSS-10 scale and the analogue scale were employed to evaluate stress and fear, respectively.
Results: Patients from group S were afraid of experiencing ICD shocks significantly more often than their counterparts from group NS (74% vs. 40.9% p=0.0012). Their levels of fear were also significantly higher compared to group NS (6 vs. 0 p=0.004). Study participants from group S limited their physical activity considerably more often due to their fear of ICD shocks (65.2% vs. 42.5% p=0.0284). No differences were found in depression and stress levels in the examined groups. It was noted that patients from group NS manifested significantly higher levels of moderate physical activity (p=0.0007) and all-week physical activity (p=0.0326). As far as physical abilities are concerned, patients from group NS displayed fewer limitations than their peers from group S (p=0.0323).
Conclusion(s):
1. Experience of ICD shocks causes fear of future shocks and increases fear levels considerably.
2. Previously experienced ICD shocks do not exert any influence on the levels of stress and depression.
3. ICD shock results in limiting all-week physical activity.
Implications: ICD shocks lower the level of quality of life. Patients with ICD require complex healthcare.
Keywords: depression, ICD, physical activity
Funding acknowledgements: No funding acknowledgements.
Topic: Mental health
Ethics approval required: Yes
Institution: Institute of Cardiology
Ethics committee: Ethics Committee of Institute of Cardiology
Ethics number: 1372
All authors, affiliations and abstracts have been published as submitted.
